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[慢性肾衰竭血液透析患者听觉器官的电生理检查(听性脑干反应和畸变产物耳声发射)]

[Electrophysiological examinations (ABR and DPOAE) of hearing organ in hemodialysed patients suffering from chronic renal failure].

作者信息

Gierek Tatiana, Markowski Jarosław, Kokot Franciszek, Paluch Jarosław, Wiecek Andrzej, Klimek Dariusz

机构信息

Katedra i Klinika Laryngologii Sl.AM w Katowicach.

出版信息

Otolaryngol Pol. 2002;56(2):189-94.

Abstract

Deterioration of function of hearing organ is one of the most important clinical problem in uremic patients with chronic renal failure. The present study aimed to assess the function of hearing organ using the brainstem auditory evoked responses (ABR), impedance audiometry and distortion product otoacoustic emission cochlear function (DPOAE) in 31 haemodialysed patients with chronic renal failure (16 females and 15 males, mean age 43.0 years). The control group consisted of 15 healthy subjects. The latency of the waves I, III, V and I-V interpeak in evoked response audiometry were significantly longer in the patients with CRF (chronic renal failure) compared to the control group. Measurement of DPOAE showed decrease of DPOAE level in patients suffering from CRF. A influence of single hemodialysis and treatment of hemodialysis by 6 months on ABR latencies and DPOAE values were not observed.

摘要

听觉器官功能退化是慢性肾衰竭尿毒症患者最重要的临床问题之一。本研究旨在利用脑干听觉诱发电位(ABR)、声阻抗测听法和畸变产物耳声发射耳蜗功能(DPOAE)评估31例慢性肾衰竭血液透析患者(16例女性和15例男性,平均年龄43.0岁)的听觉器官功能。对照组由15名健康受试者组成。与对照组相比,慢性肾衰竭(CRF)患者诱发反应测听中I、III、V波潜伏期及I-V峰间期显著延长。DPOAE测量显示CRF患者DPOAE水平降低。未观察到单次血液透析及6个月血液透析治疗对ABR潜伏期和DPOAE值的影响。

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